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Current Status of the Pediatric Palliative Care Pilot Project in South Korea Based on the Experience of a Single Center

  • Sun Hee Choi;Na Ri Yoon;Yeonhee Lee
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.51-59
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    • 2023
  • Purpose: We evaluated the status of patients enrolled in South Korea's pediatric palliative care pilot project based on the experience of a single center. This study examined factors related to end-of-life services and differences in medical costs. Methods: The medical records of 120 patients referred by a pediatric palliative care team were analyzed retrospectively. Data from July 1 to February 28, 2022 were collected and analyzed using the chi-square test and the Mann-Whitney U test. Results: Volunteer programs and psychological support (100%), family support and education (99.2%), and financial support through institutional linkage (62.5%) were provided to the participants. In the deceased group, there were no significant differences in general characteristics, which included age, gender, primary disease, religion, duration of hospitalization in an intensive care unit (ICU) and non-intensive care unit (non-ICU). However, the ICU group had fewer opportunities to access individual pain and physical symptom management than the non-ICU group and there were limitations in linking with external resources. Medical expenses were significantly different for the ICU group, with a 3-times higher average cost than the non-ICU group. Conclusion: Although an individualized approach is needed for each patient in pediatric palliative care, psychosocial care is essential. In addition, if early intervention for end-of-life pediatric patients is available from a palliative care team, the cost burden of medical care for patients and their families should be minimal.

A Study on ISMS-P Controls for Hyper Scale Cloud (하이퍼 스케일 클라우드에 적합한 정보보호 및 개인정보보호 관리체계 인증 통제항목 연구)

  • Yong-Nyuo Shin
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.23 no.3
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    • pp.19-26
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    • 2023
  • Critical information infrastructure designations for cloud service providers continue to spread around the world as energy, financial services, health, telecommunications, and transportation sectors move to the cloud. In addition, in the case of Ukraine, the removal of restrictions on the use of cloud for national critical facilities and the rapid transition of critical data to the cloud enabled the country to effectively respond to cyberattacks targeting Russian infrastructure. In Korea, the ISMS-P is operated to implement a systematic and comprehensive information protection management system and to improve the level of information protection and personal information protection management in organizations. Control items considering the cloud environment have been modified and added to the audit of companies. However, due to the different technical levels of clouds between domestic and global, it is not easy to obtain information on the findings of cloud providers such as Microsoft for the training of domestic certification auditors on hyperscale scale. Therefore, this paper analyzes findings in hyperscale clouds and suggests ways to improve cloud-specific control items by considering the compatibility of hyperscale environments with ISO/IEC 27001 and SOC(System and Organization Control) security international standards.

Enhancing the Autonomy of Physical Therapy in Korea and Its Significance for the National Healthcare System: Facing the Challenges of a Super-aging Society

  • Ki-song Kim
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.87-91
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    • 2023
  • Most advanced countries that are members of the World Physiotherapy have established a 4-year education system or specialized graduate school system for physical therapists based on national standards. They have also expanded their laws and systems to provide physical therapists with the autonomy and independence to offer services in their clinics. However, compared with developed countries in North America and Europe, there are issues with the autonomy and independence of physical therapists in Korea related to national regulations. Social status and recognition of the profession are also lagging. Korea is expected to become a super-aged society by 2025. To reduce the financial burden of healthcare and welfare on the government, it is necessary to extend the time spent by older adults on independent activities and minimize their time spent using medical services. To achieve this goal and maximize the active life of older adults, a plan to efficiently use licensed physical therapists in the country should be prepared. Korea should increase the license utilization rate of physical therapists to reduce waste at the national level and increase the professional hope of the younger generations of physical therapists. To create a healthcare policy focusing on the use of physical therapy personnel, similar to that in advanced countries, it is necessary to unify educational systems and produce excellent physical therapists. Providing professional autonomy can help physical therapists develop a sense of job satisfaction. Outstanding talent will choose physical therapy as a profession if they can see hope for their future careers, and if physical therapy services in Korea are similar to those delivered in advanced countries, physical therapy in Korea can develop into a healthcare service that people desire.

The Body Appreciation Scale-2: Validation of a Korean version among older adults (The Body Appreciation Scale-2의 노인 남녀 대상 한국어 타당성 검증 연구)

  • Minsun Lee
    • The Research Journal of the Costume Culture
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    • v.31 no.3
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    • pp.277-295
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    • 2023
  • The Body Appreciation Scale-2 (BAS-2) measures the extent to which individuals feel, accept, and respond to their own bodies in a positive manner. Given the research need to explore positive body image and its associations with various sociocultural factors and related consequences among individuals with various cultural backgrounds, several studies have established the psychometric properties and factor structures of the BAS-2 in different languages and samples with different characteristics. The current study investigated the psychometric properties and measurement invariance of a Korean version of the BAS-2 in an older Korean adult population (599 older Korean adults with the average age of 70 years). Data were collected using both online and offline (paper-based) survey questionnaires. The results of exploratory factor analyses and confirmatory factor analysis evidenced the unidimensional factor structure and measurement invariance of the Korean BAS-2 among older Korean men and women, after dropping item 1. Scalar invariance was supported across gender, and men and women did not significantly differ in observed mean scores of the Korean BAS-2. The results also supported good convergent validity and criterion validity. Incremental validity was demonstrated by predicting self-esteem over and above measures of age, BMI, subjective financial and health status, body esteem, and ageism. High internal reliability and test-retest reliability over a 2-week period were confirmed. Overall, the results of this study support the reliable use of a Korean BAS-2 to measure positive body image among older Koreans after excluding item 1.

Changes in Depression and Stress of the Middle-Aged and Elderly through Participation in a Forest Therapy Program for Dementia Prevention

  • Hong, Jaeyoon;Park, Sujin;Lee, Jungwon
    • Journal of People, Plants, and Environment
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    • v.22 no.6
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    • pp.699-709
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    • 2019
  • Various health and social issues related to the elderly are emerging in line with the rapid aging of the population. In particular, dementia currently has a prevalence of about 10 percent of the elderly population in South Korea, which increases financial and social burdens to not only individual patients but also their caring family. To assess the effects of participating in the forest therapy programs for dementia prevention, this study recruited participants aged 50 and above and tested their depression (Korean form of Geriatric Depression Scale; KGDS) and stress response (Modified form of Stress Response Inventory; SRI-MF), which are emotional aspects of dementia. As a result, KGDS showed a significant decrease of 3.2 points from 8.4 to 5.2 points, and SRI-MF showed a significant decrease of 7.2 points from 40 to 32.8 points, indicating a statistically significant improvement in both. In addition, participants with minor depression and high level of stress in the pretest showed statistically significant improvements in the SRI-MF for men, and the KGDS and SRI-MF for women. Furthermore, there were statistically significant improvements in KGDS for participants in their 60s and in SRI-MF for those in their 70s in terms of age, and in both KGDS and SRI-MF for participants with chronic diseases and in KGDS for participants without chronic diseases. This study confirmed the effects of forest therapy on the prevention of the emotional aspects of dementia and laid the groundwork for increasing the applicability of forest therapy by obtaining a place for dementia prevention as a field of forest therapy.

Development of a Happiness Scale for Korean Old People (한국 노인의 행복 요인 탐색과 척도개발)

  • Im, Eunki;Jung, Taeyun
    • 한국노년학
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    • v.29 no.3
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    • pp.1141-1158
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    • 2009
  • This study was conducted to explore the determinants of happiness for Korean Old People. A total of 105 Korean old people responded to open-ended questions about their happiness. From the content analysis of those reponses were happiness-related 70 items derived. Then 200 old people rated themselves on the list of those items. Factor analysis of those data ended up with 33 items of 8 factors, which were ①Family relationship, ②Religion, ③Financial ability, ④Health, ⑤Work/Job, ⑥ Psychological stability, ⑦Leisure, ⑧Public welfare. This Happiness Scale for the Korean old people, Subjective wellbeing Scale, Emotion experience Scale, and Self-esteem Scale were also administered to the identical 200 Korean old people. Results indicated that the construct validity of this new Happiness Scale for Korean old people was obtained. Finally, the implications and limitations of the present study and suggestions for further studies were discussed.

Life Stage Preparation Program in an Aged Society (고령사회를 대비한 노년준비교육 프로그램에 관한 연구)

  • Kim, Byung-Sook;Yang, Ok-Nam;Kang, In;Han, Eun-Joo;Won, Mihee
    • 한국노년학
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    • v.25 no.2
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    • pp.229-244
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    • 2005
  • Korea is expected to become an "aged society" in approximately fifteen years. In order to prepare Korean society for this "aged society", the government and social organizaitons need to offer a life stage preparation manual for the young, middle-aged, and aging populations, as well as providing support structures to guide them through this transition. Researchers have developed a Life Stage Preparation Program, based on surveys and experiments conducted to assess needs and appraise effectiveness. To accomplish the goal of this research, the team has been composed of specialists from the fields of social welfare, family studies, occupational studies, and gerontology. The Life Stage Preparation Program consists of ten areas: understanding ageing issues, sustaining and improving health, psychological issues, continuing education, family relations, social activities, financial preparation, occupations, shelter, and mortality. The effectiveness of the program surveyed on age group of 20s and 60s resulted in nine areas. The Life Stage Preparation Program needs to be operated as a life long education program.

Radio and Senior Generation: Focused on Radio Program for Senior (라디오와 노인: 라디오 노인 대상 프로그램을 중심으로)

  • Hong, Myungshin
    • 한국노년학
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    • v.30 no.4
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    • pp.1329-1344
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    • 2010
  • This study is intended to find out how production people have been creating senior radio program. For this purpose, the study set up the three research questions and employed in-depth interviews with ten production people: First, production people find out senior radio listeners who have been very royal attendance of the program for a long time. And they examined senior listeners prefer to listen about health care, information about elderly life and singing contest. They have been made para-social interaction with master of ceremonies (MC). Second, unlike other radio program, the senior radio program has concentrated on the radio station's image and public interest rather than financial profit and viewing rate. Normally, it was known that radio program for senior used carried on break of the day. But some program has been broadcasted on prime time in the afternoon. Target audience of senior radio program has been expanded over the forties and the fifties from sixties. Thirdly, in general the role of producer is critically important to produce program. However, MC and scriptwriter are far more experienced and specialized on the field than producer in radio program for senior.

Factors for Intentional Self-harm among the Elderly Patients with Depression (고의적 자해 노인 환자의 우울증 관련 요인)

  • Lee, Hyun Sook;Lee, Je Jung;Kim, Sang Mi
    • 한국노년학
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    • v.39 no.4
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    • pp.883-893
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    • 2019
  • The purpose of this study is to analyze the characteristics of the elderly patients with depression who were admitted to the hospital with intentional self-harm. 3,280 patients were selected from KCDC database(2011-2015) using STATA 12.0. Analysis results show that gender(female), residence(micropolitan city), result of suicide(death), risk factors(financial problems, psychological problems, physical disease, conflicts with family, place(non-residence) method of suicide(poisoning) were statistically significant. The hospital should detect the elderly patient with depression when they admitted.

Diabetes Detection and Forecasting using Machine Learning Approaches: Current State-of-the-art

  • Alwalid Alhashem;Aiman Abdulbaset ;Faisal Almudarra ;Hazzaa Alshareef ;Mshari Alqasoumi ;Atta-ur Rahman ;Maqsood Mahmud
    • International Journal of Computer Science & Network Security
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    • v.23 no.10
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    • pp.199-208
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    • 2023
  • The emergence of COVID-19 virus has shaken almost every aspect of human life including but not limited to social, financial, and economic changes. One of the most significant impacts was obviously healthcare. Now though the pandemic has been over, its aftereffects are still there. Among them, a prominent one is people lifestyle. Work from home, enhanced screen time, limited mobility and walking habits, junk food, lack of sleep etc. are several factors that have still been affecting human health. Consequently, diseases like diabetes, high blood pressure, anxiety etc. have been emerging at a speed never witnessed before and it mainly includes the people at young age. The situation demands an early prediction, detection, and warning system to alert the people at risk. AI and Machine learning has been investigated tremendously for solving the problems in almost every aspect of human life, especially healthcare and results are promising. This study focuses on reviewing the machine learning based approaches conducted in detection and prediction of diabetes especially during and post pandemic era. That will help find a research gap and significance of the study especially for the researchers and scholars in the same field.